1 The most common causes of anaphylaxis include drugs, such as penicillin, insect stings, foods (peanuts, shellfish), X-ray dye, and latex. 2  The symptoms of anaphylaxis may vary and can include hives, tongue swelling, vomiting, and even shock.
The maximum pharmaceutical dose that can be taken daily of regular tramadol is 400 mg (two 50 mg pills 4x a day). Read More. The maximum dose is 400mg a day, if your taking 50mg pills 4 would be 200mg, so your taking half the daily maximum.
The safe amount of any narcotic depends on a personâs individual tolerance to opioid medications. Tramadol is always started at a smaller initial dose of 100 mg per day. In patients whoâve experienced more exposure to the drug, safe doses may be as high as 450 mg a day.n its immediate release form, no more than 100 mg of tramadol should be taken every 6 hours. Those who have never used the medication before should start on a much lower dose of tramadol, however, because 100 mg may be too much.